| NPI | 1770549339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD27172) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 86036) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2021-12-15 |